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dc.contributor.authorAinslie-Garcia, Margaret
dc.contributor.authorAnderson, Lucas A.
dc.contributor.authorBloch, Benjamin V.
dc.contributor.authorBoard, Tim N.
dc.contributor.authorChen, Antonia F.
dc.contributor.authorCraigie, Samantha
dc.contributor.authorDanker, Walter
dc.contributor.authorGunja, Najmuddin
dc.contributor.authorHarty, James
dc.contributor.authorHernandez, Victor H.
dc.contributor.authorLebedeva, Kate
dc.contributor.authorHameed, Daniel
dc.contributor.authorMont, Michael A.
dc.contributor.authorNunley, Ryan M.
dc.contributor.authorParvizi, Javad
dc.contributor.authorPerka, Carsten
dc.contributor.authorPiuzzi, Nicolas S.
dc.contributor.authorRolfson, Ola
dc.contributor.authorRychlik, Joshua
dc.contributor.authorRomanini, Emilio
dc.contributor.authorSanz-Ruiz, Pablo
dc.contributor.authorSierra, Rafael J.
dc.contributor.authorSuleiman, Linda
dc.contributor.authorTsiridis, Eleftherios
dc.contributor.authorVendittoli, Pascal-André
dc.contributor.authorWangen, Helge
dc.contributor.authorZagra, Luigi
dc.date.accessioned2024-11-15T14:29:09Z
dc.date.available2024-11-15T14:29:09Z
dc.date.created2024-03-19T10:41:49Z
dc.date.issued2024
dc.identifier.citationJournal of Arthroplasty. 2024, 39 (6), 1524-1529.en_US
dc.identifier.issn0883-5403
dc.identifier.urihttps://hdl.handle.net/11250/3165237
dc.description.abstractBackground: This modified Delphi study aimed to develop a consensus on optimal wound closure and incision management strategies for total hip arthroplasty (THA). Given the critical nature of wound care and incision management in influencing patient outcomes, this study sought to synthesize evidence-based best practices for wound care in THA procedures. Methods: An international panel of 20 orthopedic surgeons from Europe, Canada, and the United States evaluated a targeted literature review of 18 statements (14 specific to THA and 4 related to both THA and total knee arthroplasty). There were 3 rounds of anonymous voting per topic using a modified 5-point Likert scale with a predetermined consensus threshold of ≥ 75% agreement necessary for a statement to be accepted. Results: After 3 rounds of voting, consensus was achieved for all 18 statements. Notable recommendations for THA wound management included (1) the use of barbed sutures over non-barbed sutures (shorter closing times and overall cost savings); (2) the use of subcuticular sutures over skin staples (lower risk of superficial infections and higher patient preferences, but longer closing times); (3) the use of mesh-adhesives over silver-impregnated dressings (lower rate of wound complications); (4) for at-risk patients, the use of negative pressure wound therapy over other dressings (lower wound complications and reoperations, as well as fewer dressing changes); and (5) the use of triclosan-coated sutures (lower risk of surgical site infection) over standard sutures. Conclusions: Through a structured modified Delphi approach, a panel of 20 orthopedic surgeons reached consensus on all 18 statements pertaining to wound closure and incision management in THA. This study provides a foundational framework for establishing evidence-based best practices, aiming to reduce variability in patient outcomes and to enhance the overall quality of care in THA procedures.en_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.subjectconsensus developmenten_US
dc.subjectincision managementen_US
dc.subjectmodified Delphi studyen_US
dc.subjectorthopaedic surgery practicesen_US
dc.subjecttotal hip arthroplasty (THA)en_US
dc.subjectwound closureen_US
dc.titleInternational Delphi Study on Wound Closure and Incision Management in Joint Arthroplasty Part 2: Total Hip Arthroplastyen_US
dc.title.alternativeInternational Delphi Study on Wound Closure and Incision Management in Joint Arthroplasty Part 2: Total Hip Arthroplastyen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright © 2024 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).en_US
dc.source.pagenumber1524-1529en_US
dc.source.volume39en_US
dc.source.journalJournal of Arthroplastyen_US
dc.source.issue6en_US
dc.identifier.doi10.1016/j.arth.2024.01.047
dc.identifier.cristin2255666
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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